脊髓内神经鞘瘤与神经源性膀胱
Intraspinal schwannoma and neurogenic bladder.
作者信息
Yang K S, Ho C S, Tai P A, Kung W M
机构信息
Department of Physical Medicine and Rehabilitation, Lotung Poh-Ai Hospital , Taiwan.
Graduate Institute of Sports Science, National Taiwan Sport University , Taiwan.
出版信息
Ann R Coll Surg Engl. 2018 Apr;100(4):e69-e72. doi: 10.1308/rcsann.2018.0002. Epub 2018 Mar 15.
Most lumbar intradural schwannomas present initially as radiculopathies with sensory disturbances. However, neurogenic bladder dysfunction may be one of the earliest manifestations and can cause long-term disability. We present the case of a patient with a L3-4 schwannoma (newly diagnosed owing to recurrent urinary retention and urinary tract infection) who finally underwent surgical resection. Improvement of bladder sensation was documented by urodynamic study and the patient was subsequently weaned off her Foley catheter with satisfactory outcome.
大多数腰椎硬膜内神经鞘瘤最初表现为神经根病并伴有感觉障碍。然而，神经源性膀胱功能障碍可能是最早的表现之一，并可导致长期残疾。我们报告一例L3-4神经鞘瘤患者（因复发性尿潴留和尿路感染而新诊断），该患者最终接受了手术切除。尿动力学研究记录了膀胱感觉的改善，随后患者拔除了导尿管，结果令人满意。
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